Texas Chiropractic eSource
The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events.
CMS Seeks to Allow Doctors to Bill Patients Directly
Written by Editor   
Tuesday, April 24, 2018 11:55 AM

The CMS is planning to launch a new pay model that would allow Medicare beneficiaries to contract directly with physicians.

Under current law, physicians are paid under a fee schedule in Medicare that includes limits on the amount they can bill beneficiaries per service unless they choose to opt out of Medicare and privately contract with all of their Medicare patients.  Private contracting would allow physicians to bill seniors for charges that are more than the rates approved by Medicare. These sorts of arrangements are known as balance-billing, a controversial concept that was backed by former HHS Secretary Dr. Tom Price.

Officials for the nation’s largest not-for-profit health system supported private contracting in its comments to the CMS saying this approach would make funds available to beneficiaries upfront and allow them to directly contract for primary care and related services through a subscription payment.  The upfront funding could also be used to pay for services that are not presently covered under Medicare.  “This aspect of such a model would allow both a beneficiary and provider, in partnership to define what has value and create competition for such services.”

Chiropractic Orthopedic Diplomate Returns to Texas
Written by Editor   
Friday, April 20, 2018 01:05 PM
As third-party reimbursements continue to shrink, health care reform calls for a new payment system based upon value rather than the number of procedures. A chiropractic physician’s value improves with enhanced diagnostic skills, which lead to appropriate, high-quality care of patients suffering with acute and chronic pain due to neuromusculoskeletal conditions.
For the reason, the Texas Chiropractic Association (TCA) and the Texas Council of Chiropractic Orthopedists (TCCO) are excited to bring the Diplomate of the Academy of Chiropractic Orthopedists (DACO) program back to Texas. The Diplomate is offered through the University of Bridgeport, which is rolling out its innovative postdoctoral program with state associations across the country.
Evidence Based Chiropractic Care
Written by Editor   
Wednesday, April 18, 2018 03:43 PM

CLICK HERE FOR PDFOn March 21st, 2018, The Lancet published a series of studies on lower back pain and once again chiropractic is shown to be very effective with the number one reason that patients seek chiropractic care. What we do in our office ranks very high as far as value while many of the common medical procedures rank very low. 

The TCA has put together a short synopsis of the recent Lancet lower back pain studies that we hope you will share with your local primary care physicians, nurse practioners and physicians assistants.  

The studies found that:

  • Lower Back pain is the most disabling disease in the world.  It has risen 54% since 1990.
  • The first choice of therapy should be non-pharmacological care such as spinal manipulation, exercise, acupuncture, and massage.
  • Some therapies to avoid: bedrest, opioids, epidural spinal injections, spinal fusion surgery.
  • Imaging should occur only if the clinician suspects a specific condition that would require different management for lower back pain.

 Please share the information from these medical findings in The Lancet.

Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association
Written by Editor   
Monday, April 16, 2018 12:06 PM

The importance of promoting physical activity for patients to prevent or ameliorate the risk for stroke, Alzheimer's disease, cardiovascular disease, and many other conditions has been promulgated by medical societies and researchers for years. However, no group has specifically addressed the feasibility, validity, and effectiveness of assessing and promoting physical activity in a healthcare setting.  A new scientific statement from the American Heart Association (AHA) highlighting recent research, offering solutions, and recommending a “systems change” approach is offered to call attention to this.

Physical activity plays a significant role, the authors state, for prevention and management of more than 40 diseases beyond cardiovascular disease. Obesity, diabetes mellitus, cancer, depression, Alzheimer’s disease, arthritis, and osteoporosis are prime examples.  Authors suggest healthcare providers no longer go it alone. Other clinicians, community leaders, and fitness experts can help get people moving and reduce their risk for morbidity and mortality from conditions associated with physical inactivity.

The AHA Scientific Statement includes:

Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States
Written by Editor   
Monday, April 16, 2018 11:41 AM

Chiropractic care has been reported to have effectiveness for managing musculoskeletal disorders, particularly spine-related pain and disability. Over the past 2 decades, large public sector health care delivery systems in the United States, including the Department of Defense and Department of Veterans Affairs (VA), have integrated chiropractic care into their offered services. 

Private sector medical settings, ranging from small primary care clinics to large health care systems in the United States, have introduced chiropractic care. A survey by the National Board of Chiropractic Examiners Practice Analysis of Chiropractic reported that 9% of doctors of chiropractic (DCs) practice in settings other than chiropractic offices, including 7.8% who work in an “integrated health care facility,” with 3.6% of those surveyed identifying that they hold hospital staff privileges. 

A recent study was conducted to describe the demographic, facility, and practice characteristics of doctors of chiropractic (DCs) working in private sector health care settings in the United States.

Military Reports More CAM Use Than Civilians
Written by Editor   
Monday, April 16, 2018 11:06 AM

Many people in the united states (U.S.) use complementary and alternative medicine (CAM), and its use is increasing. The National Institutes of Health defines CAM as a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. In 1990, a national survey estimated that 33.8% of U.S. adults used CAM in the previous year, which increased to 42.1% in 1997 and 62% in the 2002 National Health Interview Survey (NHIS). 

The objective of this study was to estimate complementary and alternative medicine (CAM) use among active duty military and compare data with civilian use. A global survey on CAM use in the 12 previous months was conducted. Final participants (16,146) were stratified by gender, service, region, and pay grade. Analysis included prevalence of CAM use, demographic and lifestyle characteristics.

Is Reducing Gluten/Grain Consumption Right for Everyone?
Written by Editor   
Friday, April 13, 2018 08:40 AM

Naomi Bonfanti, Guest Contributor
TCA Bronze Sponsor, Innate Response 

Is gluten bad for everyone, or just some people? It seems today, with so much attention being focused on gluten, this is a question that many people are asking. But by telling all of our patients to avoid gluten are we inadvertently lowering whole grain consumption and encouraging an excessive intake of saturated fat from animal products? After all, we all need to eat something, and if some, or all grains, are off the menu, what takes their place? Perhaps avoiding whole grains is not the ideal choice, knowing that most people struggle to consume enough fiber and lack the necessary fruit and vegetable intake to meet the recommended daily servings. Promoting an extreme view on grains to the masses without considering the likely real-world outcomes could elevate cardiovascular risk and other conditions related to reduced nutrient and fiber intake.

Eaton to be Featured at Women's Chiropractic Summit during Chiro Texpo '18
Written by Jeff Jenkins   
Monday, April 02, 2018 02:24 PM

More than half of the students entering chiropractic college today are female. That much is clear every time we step on the Parker University and Texas Chiropractic College campuses. One thing is for certain: in the coming decades, women will continue to transform chiropractic, which has long been a male-dominated profession.

Recognizing this important demographic shift, TCA is launching the inaugural Texas Women’s Chiropractic Summit during Chiro Texpo ’18, June 8-10 at the Hyatt Regency Dallas. 

TCA is thrilled to bring in Dr. Danielle Eaton, a Missouri chiropractor and the force behind Aligned Women, for an exclusive four-hour interactive workshop geared toward the “mama chiropractor.” Her program, Creating Balance in Life and Practice Through Intentional Business Design, will provide an honest look at creating the elusive thing called “balance” in life and work. TCA wants to personally invite every female chiropractor and student to be part of this important event. Don’t miss this opportunity to revolutionize your personal and professional lives!


Sex and Subluxation: A Legal Guide for Texas Chiropractors
Written by Editor   
Friday, March 30, 2018 01:51 PM

Joshua Massingill, Attorney at Law
Guest Contributor

Engaging in sexual activity with patients is, as we say in the legal field, a very bad idea. Sexual misconduct can trigger severe disciplinary action by the Texas Board of Chiropractic Examiners (“TBCE”) and civil liability for damages. Doctors who behave responsibly with patients can nevertheless face liability for sexual discrimination and harassment in the workplace. And even doctors whose personal conduct is unassailable can face liability for the actions of their employees.

The risks are real. Learn how to protect yourself.

TBCE Proposes Rules Changes in March
Written by Editor   
Friday, March 30, 2018 11:05 AM

The Texas Board of Chiropractic Examiners (TBCE) proposes amending several rules that they deem necessary to reflect implementation of 2017 Sunset Commission legislation, SB 304, which dissolved the Board's statutory requirement to regulate and/or register chiropractic facilities, effective September 1, 2017. The purpose of the proposed amendments is to remove the reference of regulation of facilities and facility owners stated in the rule.

[Red strikethrough] indicates deletions.  Blue indicates additions.

Will Shared Decision Making Between Patients, PTs, DOs, and DCs Improve Patient Care?
Written by Editor   
Monday, March 26, 2018 07:39 AM

Chronic musculoskeletal pain (CMP) is treated in primary care by a wide range of health professionals including chiropractors, osteopaths and physiotherapists. Seeking care for any condition is not static but a process, particularly for long-term conditions such as CMP. This may need to be taken into account by both CMP patients and their treating health professionals.  Neither should assume that their views about causation and treatment are static but instead that they should be revisited on a regular basis. 

Health professionals also reflected on how patients’ developing knowledge and changing beliefs altered their expectations. Therefore, overall this study identified three themes: ‘the evolving nature of patients and health professionals models of understanding CMP’; ‘legitimating suffering’ and ‘development and tailoring of consultation and treatment strategies throughout patients’ illness careers’.

Breastfeeding Difficulties Associated with Cervicocranial Dysfunction
Written by Editor   
Wednesday, March 21, 2018 07:42 AM

Increasingly, parents are presenting to the chiropractic office with the chief complaint of breastfeeding dysfunction. It is important that early and consistent breastfeeding support be implemented to assist the feeding pair's ability to establish a functional breastfeeding relationship. Therefore, chiropractors working with this population should understand the mechanics of breastfeeding, what might alter those mechanics, and recognize the importance of the IBCLC in supporting the restoration of functional breastfeeding after the chiropractic adjustments have reduced the NMSK dysfunction. The purpose of this paper is to outline some of the mechanical dysfunctions that might interfere with the normal transfer of milk for a neonate.

It is critical that chiropractors treating this population recognize the importance of the role of the International Board Certified Lactation Consultant in supporting the restoration of functional breastfeeding after the chiropractic adjustments have reduced the neuromusculoskeletal dysfunction. This paper outlines some of the mechanical dysfunctions that might interfere with the normal transfer of milk for a neonate.

TBCE Implements Biennial License Renewal
Written by Editor   
Tuesday, March 20, 2018 04:53 PM

Beginning March 1, 2018, the TBCE has implemented the 2-year biennial renewal passed by the Texas Legislature.  

For all licensees renewing in March 2018, and thereafter the biennial renewal fee, if received on or before your license expiration date, is $300.00. The biennial renewal license period is 2018-2020.

NOTE: that the annual 16-hour requirement of approved CE, including all mandatory board hours still must be met and will be required at the time of your renewal. Note also that the 16 CE hours are for each year. At your renewal in 2020 you will need 16 hours of CE per year. Be prepared to produce proof, when requested, of 16 hours of CE per year.

President's Message, March 2018
Written by Editor   
Monday, March 19, 2018 08:43 AM

Spring break is over … hope you enjoyed the bonus time with family and friends while getting away from your clinic. I was fortunate to enjoy a few days off in the Texas Panhandle with my wife and two kids, on the heels of another successful Mid-Winter Conference in Lubbock.

If you weren’t able to make it to Mid-Winter, here’s what you missed:

  • Incredible speakers – Credit goes to TCA Education & Events Co-Chair and TCA District 6 State Director Dr. Tucker Woods for assembling one of the deepest Mid-Winter line-ups in years. Dr. Dan Sullivan, a leading chiropractic advocate and our keynote speaker, was joined by Drs. Robert Fenell, Kurt Juergens, Eric Kaplan and Larry Montgomery as well as Keith Pendleton. A special thank you goes to Priscilla Montgomery, who stepped in at the last minute to teach the CA/staff training.
Key Deadlines Approaching for Texas Sports Chiropractic Conference
Written by Editor   
Friday, March 16, 2018 01:50 PM

If you treat high school, college, professional or recreational athletes, don’t miss TCA’s upcoming Texas Sports Chiropractic Conference on April 6-8 at Texas Chiropractic College in Pasadena.

Don’t miss two key deadlines coming up:

-          Register online or complete and return the registration form by March 22 to take advantage of early registration prices.

-          Make your hotel reservations online at the nearby Home2 Suites by Hilton Houston Pasadena by March 21 to take advantage of discounted rates. Or, call (281) 991-1055 and mention TSC, Texas Sports Chiropractic.

Here are few reasons why you need to be at the Texas Sports Chiropractic Conference:

A Big THANK YOU to our CDI Donors
Written by Editor   
Thursday, March 15, 2018 12:28 PM

The Chiropractic Development Initiative (CDI) is the backbone of TCA. CDI funds TCA’s advocacy, legal and public relations initiatives to advance chiropractic in Texas.

Your CDI contributions paid for the lobbying and PR expenses that resulted in four pro-chiropractic bills being signed into law during the 2017 Texas Legislative Session.

Because of your generosity, TCA was able to file an appeal in the Third Court of Appeals seeing to overturn a lower court decision in the Texas Medical Association (TMA) vs. Texas Board of Chiropractic Examiners (TBCE) and TCA law suit. We anticipate a decision in the six months to a year.

A Pivotal Moment for Chiropractic in Texas: TMA vs. TBCE/TCA Appeal
Written by Andrea Howard   
Monday, February 19, 2018 09:34 AM
The Texas Chiropractic Association is hosting a Live Tele Town Hall on Thursday, February 22, at 7:30 p.m. CT to discuss and answer questions on the upcoming appeal in the Texas Medical Association (TMA) vs. Texas Board of Chiropractic Examiners (TBCE) and Texas Chiropractic Association (TCA) law suit. To register, please visit http://tcalivealert.pagedemo.co.
The biggest question looming over the case: Is Chiropractic on the Chopping Block? 
TCA’s Premium, Elite Membership – A Great CE Option (and Value)
Written by Jeff Jenkins   
Monday, February 19, 2018 09:21 AM
Still planning out your CE hours for the year? The Texas Chiropractic Association has three great choices for you – and an opportunity to save money off your registration fees while supporting chiropractic in Texas.
Whether you’re a TCA member or not, consider upgrading to the Premium or Elite membership. The Premium membership includes the price of a conference registration in your membership fee, while the Elite membership is your all-access pass to all three TCA conferences.
Written by Andrea Howard   
Friday, February 16, 2018 11:08 AM

Chiropractors across the country are rightfully upset about the recent policy change at Blue Cross Blue Shield in which BCBS is denying payments for E/M Services, particularly those when billed with the modifier 25. Please know that TCA is well-aware of what’s happening and is determining the next steps to take.

Here is TCA’s official response to our members and all Texas chiropractors:

Thank You to TCA Premium and Elite Members
Written by Andrea Howard   
Thursday, October 12, 2017 03:59 PM
A Big Thank You to TCA Elite and Premium Members 

The Texas Chiropractic Association wants to thank our Elite and Premium Members for their extra support of TCA and your efforts to advance the chiropractic profession in Texas.
The Elite Membership is an upgraded membership that includes unlimited access to all TCA events such as the Mid-Winter Conference, Texas Sports Chiropractic Conference and Chiro Texpo, TCA’s annual convention. Cost is $1,100/year or, if you prefer, you can pay $275/quarter.
The Premium Membership is a high-level membership that features 16 CE hours in the price of membership. Cost is $800/year or $200/quarter.
A significant discount off conference registration fees isn’t the only benefit of the Elite and Premium memberships. A portion of Elite and Premium membership dues support TCA’s Chiropractic Development Initiative (CDI), which funds TCA’s advocacy, legal and public relations efforts.
To join as a TCA Elite or Premium Member or upgrade your membership, contact the TCA office at (512) 477-9292 or email info@chirotexas.org. You also can join online or complete and return the Elite application and Premium application.
Call for Keeler Award Nominations
Monday, October 09, 2017 12:00 AM

Keeler Plaque Call for Nominations

TCA is accepting nominations for the Keeler Plaque, the Texas Chiropractic Association’s most prestigious award.  The Keeler Plaque designates the chiropractor of the year in Texas.

TCA members are encouraged to nominate a colleague who is a fellow TCA member. The list of nominations is presented to the Keeler Plaque Committee, which will select the honoree. Nominations are not held over from year to year.

Nominations for the 2018 Keeler Plaque are due by May 17.